Postoperative Functional Recovery,Related Factors and Intervention Strategies for Developmental Dysplasia of Hip in Children
Objective:To explore the postoperative functional recovery of developmental dysplasia of hip in children,analyze the related factors influencing postoperative functional recovery of children,and investigate intervention strategies.Method:The clinical data of 90 children(113 hips)with developmental dysplasia of hip who underwent surgical treatment in the Second Hospital of Shanxi Medical University from June 2020 to June 2022 were retrospectively analyzed,closed reduction or open reduction was performed under general anesthesia,and the patients were followed up for 18-36 months.Pelvic anteroposterior X-ray films were taken before operation and at the last follow-up to observe the changes of imaging indexes before and after operation,and the clinical efficacy was evaluated by Mckay hip function evaluation method;according to whether the postoperative hip joint returned to normal X-ray performance,the children were divided into recovery group and non-recovery group,univariate and multivariate logistic regression analysis were used to analyze the related factors affecting the postoperative functional recovery of children.Result:At the last follow-up,the acetabular index(AI)and sharp angle were smaller than those before surgery,the center-edge angle(CEA)and acetabular depth were greater than those before surgery,the differences were statistically significant(P<0.05).At the last follow-up,Mckay classification results showed that there were 92 excellent cases,12 good cases,and 9 general cases,with an excellent and good rate of 92.04%(104/113).Univariate analysis showed that there were significant differences in age,affected side and postoperative regular rehabilitation training between two groups(P<0.05).logistic regression analysis results showed that age≥24 months(OR=1.029,P=0.026),bilateral dislocation(OR=1.148,P=0.011)and lack of regular rehabilitation training after surgery(OR=1.726,P=0.025)were independent risk factors for postoperative hip recovery of children with developmental dysplasia of hip.Conclusion:Surgical treatment is effective in the treatment of developmental dysplasia of hip in children,which can effectively improve acetabular coverage and enhance hip function;age≥24 months,bilateral dislocation and postoperative rehabilitation training may be risk factors influencing postoperative hip recovery of children.Individualized treatment principles should be followed during the treatment process,and postoperative rehabilitation training should be strengthened to further promote the rehabilitation of children.
Developmental dysplasia of hipClosed reductionOpen reductionHip functionInfluencing factorIntervention strategy
万方数据
维普
